• Title/Summary/Keyword: Primary resolution

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A Study of nursing process by Neuman's systems model in Primary Health Care (Neuman 모델에 의한 일차보건의료에서의 간호과정 적용연구)

  • Han Myung Hwa
    • Journal of Korean Public Health Nursing
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    • v.12 no.1
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    • pp.90-102
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    • 1998
  • The primary health care(PHC) movement officially began in 1977 when the 30th World Health Oranization(WHO) Assembly adopted a resolution accepting the goal of attaining a level of health that permitted all citizens of the world to live socially and economically productive lives. As a WHO member nation, Korea has endorsed primary health care as a strategy for achieving the goal of Health For All by the Year 2000. However, PHC, with its empasis on broad strategies, community participation, self reliance, and a multidisciplinary health care delivary team, is not the primary strategy for improving the of Korean. The Neuman's systems model has been described as a grand nursing theory. A grand nursing theory consists of a comprehensive conceptual framework that defines broad perspectives for practice. This model is an example of a conceptual framework that provides structure for development and analysis of an individual or group of patients in the community or in an oranization. One of the model's strength is that it can be useed ina variey of setting. So The Neuman's model is used a nursing process format for community health nursing. The Neuman's model is fully congruent with concept and philosophy of today's PHC.

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The relationship between primary headache and constipation in children and adolescents

  • Park, Mi-Na;Choi, Min-Gyu;You, Su Jeong
    • Clinical and Experimental Pediatrics
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    • v.58 no.2
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    • pp.60-63
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    • 2015
  • Purpose: Many patients presenting with headache also complain of constipation; the relationship between these two symptoms has not been explored in detail. The aim of this study was to investigate the association between primary headache and constipation. Methods: This retrospective study included all children who attended the Inje University Sanggye Paik Hospital complaining of headache, and who had been followed up for at least 100 days. Patients were divided into 2 groups: group A, in whom the headache improved after treatment for constipation, and group B, in whom headache was not associated with constipation. Results: Of the 96 patients with primary headache, 24 (25.0%) also had constipation (group A). All 24 received treatment for constipation. Follow-up revealed an improvement in both headache and constipation in all patients. Group B contained the remaining 72 children. Comparison of groups A and B indicated a significant difference in sex ratio (P=0.009, chi-square test). Patients with probable tension-type headache were more likely to be in Group A (P=0.006, chi-square test). Conclusion: Resolution of constipation improves headache in many patients diagnosed with primary headache, especially those with probable tension-type headache. We suggest that either constipation plays a key role in triggering headache, or that both constipation and headache share a common pathophysiology.

Covered Self-expandable Metallic Stent Insertion as a Rescue Procedure for Postoperative Leakage after Primary Repair of Perforated Duodenal Ulcer (십이지장 궤양 천공 단순 봉합수술 후 완전 피막형 자가확장 금속 스텐트 삽입술로 치료된 봉합 부위 누출)

  • Yoo, Young Jin;Lee, Yong Kang;Lee, Joong Ho;Lee, Hyung Soon
    • The Korean Journal of Gastroenterology
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    • v.72 no.5
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    • pp.262-266
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    • 2018
  • Surgery has been the standard treatment for perforated duodenal ulcers, with mostly good results. However, the resolution of postoperative leakage after primary repair of perforated duodenal ulcer remains challenging. There are several choices for re-operation required in persistent leakage from perforated duodenal ulcers. However, many of these choices are complicated surgical procedures requiring prolonged general anesthesia that may increase the chances of morbidity and mortality. Several recent reports have demonstrated postoperative leakage after primary repair of a perforated duodenal ulcer treated with endoscopic insertion using a covered self-expandable metallic stent, with good clinical results. We report a case with postoperative leakage after primary repair of a perforated duodenal ulcer treated using a covered self-expandable metallic stent.

Generation of Water Droplet Ion Beam for ToF-SIMS Analysis

  • Myoung Choul Choi;Ji Young Baek;Aram Hong;Jae Yeong Eo;Chang Min Choi
    • Mass Spectrometry Letters
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    • v.14 no.4
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    • pp.147-152
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    • 2023
  • The increasing demand for two-dimensional imaging analysis using optical or electronic microscopic techniques has led to an increase in the use of simple one-dimensional and two-dimensional mass spectrometry imaging. Among these imaging methods, secondary-ion mass spectrometry (SIMS) has the best spatial resolution using a primary ion beam with a relatively insignificant beam diameter. Until recently, SIMS, which uses high-energy primary ion beams, has not been used to analyze molecules. However, owing to the development of cluster ion beams, it has been actively used to analyze various organic molecules from the surface. Researchers and commercial SIMS companies are developing cluster ion beams to analyze biological samples, including amino acids, peptides, and proteins. In this study, a water droplet ion beam for surface analysis was realized. Water droplets ions were generated via electrospraying in a vacuum without desolvation. The generated ions were accelerated at an energy of 10 keV and collided with the target sample, and secondary ion mass spectra were obtained for the generated ions using ToF-SIMS. Thus, the proposed water droplet ion-beam device showed potential applicability as a primary ion beam in SIMS.

Environmental Dispute Adjustment System : Current Status and Issues (환경분쟁조정제도의 현황과 과제)

  • Yoon, Esook;Lee, Choon-Won
    • Journal of Arbitration Studies
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    • v.28 no.1
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    • pp.125-151
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    • 2018
  • Rapid industrial growth based on massive fossil fuel energy consumption has caused serious damages on natural environment and every aspects of human life. As demands for clean and pleasant living circumstance increases, conflicts and disputes around environmental problems have also been widespread. Given the 'environmental rights' is a relatively new legal concept, however, resolving environmental disputes through the traditional legal principles and litigation procedures could be restrictive and, in some sense. inefficient as well as expensive. With efforts to develop new legal principles on environmental disputes, the environmental dispute adjustment system has been introduced as an alternative dispute resolution to the traditional legal dispute procedures. The Korean Environmental Dispute Resolution Commission introduced as the environmental dispute adjustment system has been well established for the past twenty-seven years, given the steadily increasing numbers of applications to the Commission over environmental disputes. However, as most cases are still small in money terms and mainly subject to adjudication, the effectiveness and practical contribution of the Commission in the resolution of environmental disputes have in fact been limited. For the enhancement of the status and roles of the Commission as the prior instrument of the alternative dispute resolution(ADR) in environmental disputes, several suggestions could be considered as follows: First, mediation needs to be more activated than adjudication in order to meet the primary purpose of ADR that resolves environmental disputes according to free will of concerned parties. Second, the scope of mediation could be expanded to the areas including potential environmental damages. Third, the roles and responsibilities of the Environmental Dispute Resolution Commissions at both central and local levels need to be evenly distributed. Fourth, the mechanism and procedures of environmental dispute resolution should be standardized. Fifth, the status of the Environmental Dispute Resolution Commission could be elevated in rank by shifting its current affiliation from the Ministry of Environment to the Office of Prime Minister. Sixth, the organizational structure and human resources of the Commission need to be reinforced. Seventh, the current situation that tends to give priority to litigation procedures when an environment dispute is simultaneously pending in litigation and mediation should be eased and properly adjusted. Eighth, the adoption of mandatory mediation in advance to litigation needs to be discussed. Ninth, the legal authority of the Commission's decisions should be further guaranteed. If above suggestions are thoroughly reviewed and properly adopted, the roles, authority and power of the Environmental Dispute Resolution Commission would be increased in the era when environmental conflicts get widespread, requiring an effective alternative environmental dispute resolution mechanism.

Factors Related to the Resolution of Primary Vesicoureteral Reflux (요로감염 영아에서 일차성 방광요관역류)

  • Jung, Jae-Won;Woo, Mi-Kyoung;Koo, Ja-Wook
    • Childhood Kidney Diseases
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    • v.13 no.1
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    • pp.40-48
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    • 2009
  • Purpose : This study was performed to identify factors related to the resolution of primary vesicoureteral reflux (VUR) in infants. Methods : We reviewed 183 infants (M : F=149 : 34) diagnosed as urinary tract infection (UTI) between February 2002 and July 2007 at Sanggye Paik Hospital. The diagnosis of UTI was made by culture from a urine specimen obtained by suprapubic puncture (n=97), catheterization (n=83), or collection bag method (n=3, twice positive culture of same organism). All of the infants were performed renal ultrasonography, DMSA scan and voiding cystourethrography (VCUG) study. Follow-up imaging consisted of contrast VCUG or direct isotope VCUG at interval of 1 year. We evaluated the relationship of clinical and laboratory finding, radiologic finding in infants with VUR. Results : Among 51 VUR patients, 18 infants had grade I-II, 12 infants had grade III and the other 21 patients had grade IV-V. Abnormal findings including hydronephrosis on renal ultrasonography were not correlated with severity of VUR. However, the incidence of renal defect in the first DMSA scan showed a tendency of direct correlation with severity of VUR in female patients only (P<0.001). There was significant difference of resolution rate in three VUR groups (grade I-II, III, IV-V) in male patients only (P=0.025). Resolution rate was higher for male patients with unilateral VUR than bilateral (P<0.001). But unilaterality had not any affect on VUR resolution in female VUR patients (P=0.786). Resolution rate was higher for VUR patients without renal scar than VUR patients with renal scar (P<0.001). Conclusion : According to our findings, grade of VUR, laterality and renal scar are the factors that contribute to resolution of primary VUR in male and female infants differently.

Resolution Enhancement for Far Objects by Using Direct Pixel Mapping Method in Curving-Effective Integral Imaging (커브형 집적영상에서 다이렉트 픽셀매핑 방법을 이용한 먼 거리 물체의 해상도 향상)

  • Chung, Han-Gu;Kim, Eun-Soo
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.15 no.12
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    • pp.2664-2669
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    • 2011
  • We proposed a new method to improve the resolution of far object image in curving effective integral imaging system. Basically, the curving effective integral imaging(CEII) system can improve the resolution of the reconstructed images with an increased sampling rate of elemental images. However, in the case when an object located far from the lenslet array is picked up, the low resolution of the reconstructed images of the far object has been a primary problem because the sampling rate is very low. In order to solve this drawback, by using the direct pixel mapping(DPM) method the EIA picked up from a far object is transformed into a new EIA that virtually looks like the EIA picked up from the object originally located close to the lenslet array. From this new EIA, highly resolution-enhanced images of far object could be reconstructed in the CEII system. To show the feasibility of the proposed method, simulation results are compared with the conventional method.

An Improved Proton Recoil Telescope Detector for Fast Neutron Spectroscopy

  • Chung, Moon-Kyu;Kang, Hee-Dong;Park, Tong-Soo
    • Nuclear Engineering and Technology
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    • v.5 no.3
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    • pp.191-201
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    • 1973
  • For fast neutron spectroscopy in MeV region, a recoil proton telescope detector was designed and constructed so as to increase in detection efficiency without appreciable deterioration in energy resolution by adopting a special type of recoil proton radiator which is a combination of a ring-shaped vertical radiator and a cone-shaped horizontal radiator at a certain geometry. A neutron stopper was built in the detector system to minimize the background due to direct exposure of the Si(Li) detectors to primary incident neutrons. The detection efficiency and the energy resolution calculated at various neutron energies and geometries are given and these characteristics of the detector system were tested by 14.1 MeV neutrons. As the calculation predicted, the relative detection efficiency in case of the combined radiator system is almost 2.2 times of that for a single, ring-shaped vertical radiator system. The calculated energy resolution is 3.7% FWHM, whereas the measured resolution was 3.9% which means resolution broadening of approximately. 30% was resulted by introducing a combined radiator system into the telescope. Increase in background less than 40% was also observed.

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High-resolution Transmission Electron Microscopy of Tremolite-to-Talc Reaction at the Dongyang Talc Deposit (동양 활석광상에서의 투각섬석-활석 반응에 관한 고분해능 투과전자현미경학적 연구)

  • 안중호;이인성;김준모
    • Journal of the Mineralogical Society of Korea
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    • v.13 no.2
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    • pp.84-95
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    • 2000
  • Tremolite crystals from the Dongyang talc deposit were studied using high-resolution transmission electron microscopy (HRTEM) to characterize the tremolite-to-talc reaction. [001] HRTEM images of tremolite show intergrowths of wide-chain pyriboles and talc; talc is the primary alteration product of tremolite, and triple-chain structures occur sparsely. The boundaries between tremolite and talc are commonly well defined by (010) and (100) interfaces. (001) talc layers are parallel to (100) of tremolite, and the interfaces between tremolite and talc appear to be coherent in HRTEM images, indicating that most talc laters formed directly from tremolite by a gydration reaction. However, some talc formed along (110) of tremolite, and talc layers are not extended from (010) of tremolite, suggesting that part of talc in the deposit was produced through a dissolution-precipitation mechanism. Carbonate minerals are also associated with tremolite and talc. Common replacement of dolomite by calcite indicates that the tremolite-to-talc reaction results in remnant Ca, which was eventually consumed to replace dolomite to form clacite. Some Mg Produced by dolomite during reaction to calcite was apparently utilized to form talc, because talc formation from tremolite requires extra Mg. Although talc could be formend directly from dolomite, extensive alteration of tremolite to talc suggests that part of talc of the deposit was produced from tremolite that was formed by dolomite reaction during an early stage metamorphism.

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Performance and functionality of SRI detector array and focal plane electronics

  • Kim, Young-Sun;Kong, Jong-Pil;Heo, Haeng-Pal;Park, Jong-Euk;Chang, Young-Jun
    • Proceedings of the KSRS Conference
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    • v.2
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    • pp.804-807
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    • 2006
  • The SRI(Super Resolution Imager) with 800mm aperture primary mirror is the ground development model of the high resolution satellite camera. The SRI focal plane electronics including detector array generates the data for high-resolution images by converting incoming light into digital stream of pixel data. Since the focal plane including a detector is the basic building block of the camera system, the main system performances is directly determined by its performance. This paper measures the SRI focal plane electronics’ performance such as the dark signal, the dark signal noise, the linearity, the PRNU(Photo Response Non-Uniformity), the SNR(Signal to Noise Ratio) and the sensor saturation capability. In addition, this paper verifies the various functionalities of the SRI focal plane electronics. The electrical test equipment with the specialized software and the optical test equipments such as the integrating sphere, the rotation stage and the target are implemented and used to verify these functionalities and performances.

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